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Organization

EMANCIPATION HEALTH & WELLNESS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
GLEN TYRONE CHAMBERS (OWNER)
(310) 756-9965
Entity
Organization

Contact information

Practice address
222 S RAINBOW BLVD STE 111, LAS VEGAS, NV 89145-5343
(702) 478-8205
Mailing address
222 S RAINBOW BLVD STE 111, LAS VEGAS, NV 89145-5343
(702) 478-8205

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
NV20181050463
NV

Other

Enumeration date
01/25/2018
Last updated
01/25/2018
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